Inspection on 12/04/05 for Seddon Court Elderly Persons Home

This inspection was carried out on 12th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Seddon Court Elderly Persons Home 25/06/07

Seddon Court Elderly Persons Home 29/08/06

Seddon Court Elderly Persons Home 30/11/05

Seddon Court Elderly Persons Home 24/01/05

Seddon Court Elderly Persons Home 18/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Seddon Court Elderly Persons Home Prescot Road St Helens Merseyside WA10 3UU Lead Inspector John Mullen Unannounced 12 April 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Seddon Court Older Persons Care Home Address Prescot Road St Helens Merseyside WA10 3UU 01744 677515 01744 677517 jimphilbin@st.helens.gov.uk St Helens Metropolitan Borough Council Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr James Michael Philbin Care Home 30 Category(ies) of Dementia - over 65 years of age; 30 registration, with number of places Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: That the service should have a suitably qualified and experienced manager who has been registered by the Commission for Social Care Inspection. The home can admit a maximum of 2 service users between the ages of 60 and 65 years. Date of last inspection 24th January 2005 Brief Description of the Service: Seddon Court is a thirty-bedded home for the accommodation and care of older people with dementia. It is owned and managed by St Helens Council. The registered manager is Mr. James Philbin. The home has twenty-six permanent beds and four respite ones. Seddon Court is divided into three units of ten, although residents can and do move between units freely. The home does not provide nursing care but calls upon the community nursing services when necessary. The premises are purpose-built and were opened in 1988. The area used by residents occupies the ground floor. Here, in addition to the residents’ units, is located a kitchen, laundry and hairdressing room as well as office accommodation. The first floor is used exclusively by staff and contains a meeting room as well as sleeping-in accommodation. All bedrooms are for single occupancy. The home has a very pleasant communal area as well as a garden facility extensively used by both residents and their families. Appropriate aids and adaptations assist disabled residents manage the premises and the home has a full call system in place. Seddon Court is located within close reach of local facilities and can be easily visited via public transport. Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over one day and a total of six hours. The registered manager was interviewed as well as an assistant manager, six members of the care staff and two domestics. The care home is an EMI facility and capacity of residents vary but six were spoken with and others were observed in terms of their general care. Three visiting family members were interviewed. A tour of the premises was undertaken and a great deal of documentation was examined. The home has a low level of complaints and none remain unresolved. What the service does well: What has improved since the last inspection? The appointment of an extra assistant manager has meant that the home can address some of the outstanding management issues notably supervision and unit meetings which have been outstanding matters from previous inspection reports. Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 6 The home now has its full complement of care and domestic staff and the home was cleaner than at the time of the last inspection. Some training in activities has been provided and extra equipment has been bought for this purpose. Seddon Court is acquiring a new laundry and storage space, which has been greatly needed. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 3 The admission procedures contained a full assessment of the residents’ needs. Care staff are therefore familiar with residents’ needs. A full statement of terms and conditions ensures that residents are secure within the home. EVIDENCE: Case files examined had individual needs assessments from the referring agency. These had been completed fully. The assistant manager said they were not always provided promptly depending on the individuals concerned. Care staff interviewed had a good understanding of the needs of residents in their care as they could describe the care they need and the risks, which have been identified for them. Individual records contained a statement of terms and conditions. Family members interviewed said they were confident that their relative’s place is secure in the home and that they were happy with the arrangements for their care. Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 9 Seddon Court has arrangements to meet the health care needs of residents although some improvements are still required. Care plans are not being fully completed which could mean that residents’ needs are not always being met. Although there are sound policies on the completion of risk assessments and the administration of medicines, both need to be used fully in order not to put residents at risk. EVIDENCE: An individual plan of care was not found in the case file for the last admission to the home and one other was found to be significantly out-of-date. The latter was in relation to a resident who had greatly deteriorated in terms of her mental condition and the care plan did not reflect this. Care plans are comprehensive in format but do not contain the signature of residents or their families to show their agreement with the plans. Some risk assessments were either out-of-date or incomplete. Discussions with staff revealed a good understanding of residents’ needs and their associated risks but lack of documentation means communication of these is less formal than is required. Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 10 Discussions with managers revealed that difficulties continue with the shortage of psychiatric cover in the area but, otherwise, health services are being provided as required. The home is not yet weighing its residents regularly although it has plans to do so when new scales have been bought. When implemented this will enable the home to ensure residents’ nutritional needs are being met. Medication sheets showed that there were two instances when required medication was not given although these were exceptions. Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15 Seddon Court still does not provide the variety of activities required by residents and their families although there is evidence of increased training and equipment for this purpose. The home has an open visiting policy, which families appreciated and which means that families can maintain easy contact with their relatives in Seddon Court. The food is of a good standard and mealtimes are sociable occasions. EVIDENCE: Interviews with care staff revealed that further training on activities has been provided and that extra equipment has been purchased for this. However, new activities have not yet been started and one resident complained of feeling bored in the home. Visitors felt they were well received in Seddon Court and that they had full use of the home when seeing their relatives. Observations on the day confirmed that visitors could see residents in private if they so wished. The menu in the home confirmed that varied and nutritious food is being provided for residents and those spoken to stated that they enjoyed the food served in Seddon Court. Observation of the lunchtime meal found that it was a pleasant occasion with staff supporting residents to eat in a discrete manner when required. Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Seddon Court protects its residents with their consistent approach to the recording and investigation of complaints. Relatives can feel secure that any concerns will be acted upon, and most staff are trained in the area of protection of adults from abuse, further safeguarding residents in the home. EVIDENCE: Seddon Court has a thorough process of recording complaints and their outcomes. The complaints’ book showed one complaint had been made since the last inspection and three over the full year. Each had been dealt with thoroughly and appropriately. Families interviewed had not made a complaint about the care of their relatives but knew how to made such a complaint if necessary. St Helens Council has a thorough procedure to protect residents from abuse and a large proportion of care staff have had training in this subject. There has been no allegation of abuse in the recent past. Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The home is a comfortable and pleasant place for the care of older people. Improvements to the domestic staffing of the home and to the building means that the home can maintain a good level of hygiene. EVIDENCE: A tour of the premises found Seddon Court to be well furnished, well decorated and comfortable. The home has a programme of refurbishment and six bedrooms are planned to be redecorated in the near future. Both residents and relatives spoken to were happy with the standard of accommodation in the home. At the time of the inspection an extension to the laundry was being fitted which will also result in extra storage space and sluicing facilities. The last inspection revealed a problem with domestic cover but this has now been rectified. Two members of the domestic staff were interviewed and both said that the home is now using better cleaning materials resulting in a higher level of cleanliness. A tour of the home found no obnoxious smells and a good level of hygiene. Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 30 Seddon Court has now a full complement of staff, which is an improvement on the previous situation although not all staff have permanent contracts. Interviews with care staff showed that an amount of training is being provided for them but the lack of documentation means that the full picture in terms of training and development remains unclear. EVIDENCE: The home has appointed a temporary assistant manager and three temporary care staff and, as a result, Seddon Court is now fully staffed. The rotas confirmed that appropriate numbers of staff are being employed and domestic staff are now sufficient to maintain standards. There has been no improvement to the recording of staff training and development, which was a requirement of the last inspection. Staff interviewed felt that they had received good training although two revealed the need for moving and handling training. The lack of documentation of training undertaken and that required means it is difficult to make a full judgement on the training needs of staff. Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 36 and 38 Seddon Court has an appropriately qualified and experienced manager. Limited progress has been made in providing staff supervision but shortfalls still exist in this area and in holding unit meetings. The home is a safe and secure environment with some minor exceptions. EVIDENCE: The registered manager is unchanged and is fully qualified for the post in terms of experience and qualifications. Supervision records show that there has been some improvement to the amount of formal supervision provided but the home remains well short of the frequency required by the National Minimum Standards. All care staff interviewed felt well supported in their role although one did state that the lack of unit meetings means that there can be a problem with communication at times. Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 16 A tour of the premises found the home to be a safe environment for the care of older people. Seddon Court has full policies and procedures to maintain the health and safety of its residents and has those certificates required by the inspection, although a further fire risk assessment has been requested by the fire officer. Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x x 2 x 2 Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 18 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 36 Regulation 18 Requirement The registered manager to ensure that staff are supervised at the required intervals. (Previous timescale of 1st June 2005 not met.) The registered manager to arrange regular unit meetings in the home. (Previous timescale of 1st June 2005 not met. The registered manager to implement an extended programme of activities. (Previous timescale of 1st June 2005 not met). The registered manager to ensure that care staff receive at least three days training per year, refresher training in moving and handling and this is clearly documented. (Previous timescale of 1st March 2005 not met). The registered manager to ensure that care plans exist for each resident, they are signed and that risk assessments are regularly reviewed. The registered manager to ensure that each resident is weighed regularly. v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Timescale for action 1st October 2005 2. 32 21 1st October 2005 1st November 2005 1st November 2005 3. 21 16 4. 30 18 5. 7 15 1st August 2005 6. 8 12 1st June 2005 Seddon Court Elderly Persons Home Version 1.30 Page 19 7. 9 13 8. 38 23 The registered manager to ensure that prescribed medication for residents is always given at the correct time. The registered manager to update the fire risk assessment. 1st June 2005 1st June 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Burlington House, 2nd Floor, South Wing Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Seddon Court Elderly Persons Home v221993 f53 f03 seddon court s34059 v221993 12.04.05 stage 4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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